What is the administration code for 96372?

What is the administration code for 96372?

Subcutaneous and Intramuscular Injection Non-Chemotherapy Instead, the administration of the following drugs in their subcutaneous or intramuscular forms should be billed using CPT code 96372, (therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular).

Can CPT code 96372 Be bill with an office visit?

If you administer an injection in your office, e.g., naltrexone extended-release (Vivitrol®) or depot antipsychotics, you can bill for the administration of the injection separately from the billing for the visit itself. The CPT code 96372 should be used–Therapeutic, prophylactic, or diagnostic injection.

What is the J code for injection?

J1055
METHOD 1 – There is a valid HCPCS code J1055: Injection; medroxprogesterone acetate, 150 mg.

What is the CPT code for intramuscular injection?

96372
Answer: CPT code 96372… should be reported for each intramuscular (IM) injection performed.

Is CPT 96372 covered by Medicare?

A: Medicare requires the use of CPT code 96372 –Therapeutic, prophylactic, or diagnostic injection, specify substance or drug; subcutaneous or intramuscular for the administration of biologics. Medicare does allow for multiple units/injections using this code.

How do you bill Dupixent injection?

You actually can bill 96401 for Dupixent because it is a biological agent. CPT 96401 is used for chemotherapy and other highly complex drugs and biologic agents.

How do you bill for injection only?

You only need the documentation to support a significant encounter from the injection administration. You would never bill the E&M code and the Jcode for the drug only. If you cannot support a significant office encounter then you would bill the injection admin and the J code and not the E&M.

What is Revenue Code 0771?

Administration is billed under revenue code 0771, which is for Vaccine Administration under the Preventative Care Services category, even though this drug or combination of drugs is not technically a vaccine. Condition code A6 (Vaccines/100% Medicare Payment).

What is CPT code J3300?

2021 HCPCS Code J3300 : Injection, triamcinolone acetonide, preservative free, 1 mg.

Can 96372 be billed with 99213?

Yes. Put modifier-25 on your office visit and your 96372 will get paid as long as the patients insurance benefits cover it.

Is 96372 an add on code?

Do not report CPT code 96365, 96374, 96372 and 96360 together unless there are two or more IV sites for infusion or injection. All add-on codes (+) should be used secondary codes along with other services. For example, IV push code +96375 can be coded as secondary code with initial IV infusion CPT code 96365.

Can I bill an office visit with an injection?

Answer: Unfortunately, no. It is true that an evaluation and management code, an E/M or office visit, can be reported with a minor procedure such as an injection, but only if the E/M is significant and separate and exceeds the “pre-service evaluation” that is inherent to the injection.

What do you need to know about injection code 96372?

The injection codes (96372 and 96373 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial) may be reported with any hydration therapy, IV drug administration, or chemotherapy administration during the same encounter. Follow this guidance, as well:

When to not report an E / M code 96372?

Do not report 96365-96379 with any codes that describe a procedure of which IV push or infusion are a part. Hospitals may not report an E/M code in addition to 96372 or 96373 when the sole purpose of the visit is drug administration. This guidance should resolve any problems you were having with 96372.

Is the 99211 code the same as 96372?

Bottom Line: Insurance payers are not paying 99211 when reported on the same date of service as 96372. If you report these codes in combination, the payer will deny the claim.

What is the CPT code for subcutaneous injections?

Coding Guideline for Intramuscular or Subcutaneous Injections CPT© Code: 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular